# DEEALICE MOTON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1477826071
- **Gender:** F
- **Credential:** LMT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171000000X | Military Health Care Provider | 9071 | SC | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | MAS.9071 | SC | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | 9071 | SC | — |
| 208VP0014X | Interventional Pain Medicine Physician | 9071 | SC | — |
| 225400000X | Rehabilitation Practitioner | 9071 | SC | Yes |
| 225700000X | Massage Therapist | MT007357 | GA | — |

## Other

- **Enumeration date:** 02/14/2012
- **Last updated:** 01/09/2025